社区中老年居民高血压的流行病学调查及危险因素分析
作者:
作者单位:

(1.西南医科大学,四川省泸州市 646000;2.川北医学院第二临床学院肾内科,;3.默沙东制药有限公司-南充市中心医院高血压、血脂异常、2型糖尿病社区综合管理项目工作小组,四川省南充市 637000)

作者简介:

卢丹,硕士研究生,研究方向为慢性病的管理、肾小球滤过率的估算方程适用性,E-mail为13547593080@163.com。

基金项目:

四川省教育厅课题(16ZA0240);四川省医学会科研课题(2017SHD013)


Epidemiological investigation and risk factors analysis of hypertension in middle-aged and elderly residents in the community
Author:
Affiliation:

1.Southwest Medical University, Luzhou, Sichuan 646000, China;2.Department of Nephrology, the Second Clinical College of North Sichuan Medical College, ;3.Merck Pharmaceutical Co. Ltd.-The Hypertension, Dyslipidemia and Type 2 Diabetes Community Project Management Working Group of Nanchong Central Hospital, Nanchong, Sichuan 637000, China)

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    摘要:

    目的 了解南充市顺庆区中老年居民高血压患病情况和危险因素,为高血压的防治提供依据。 方法 选择南充市顺庆区45岁及以上的社区居民,进行生活习惯、慢性病史、慢性病家族史等问卷调查,同时行体格检查和相关生物化学指标检查。 结果 南充市居民高血压患病率、知晓率、治疗率及控制率分别为37.8%、48.1%、42%和18%,新发病率为24%,按2017年美国新指南标准的新发病率为69.59%。年龄(OR=1.047)、超重(OR=1.5)、肥胖(OR=1.911)、中心型肥胖(OR=1.208)、吸烟(OR=1.238)、睡眠过短(OR=1.105)、睡眠过长(OR=1.261)、糖尿病(OR=1.341)、血脂异常(OR=1.268)、冠心病(OR=1.57)、脑卒中(OR=3.33)、高血压家族史(OR=2.155)及脑卒中家族史(OR=1.367)与高血压的患病密切相关。 结论 南充市社区45岁及以上居民高血压患病率较高;知晓率、治疗率、控制率较低,年龄、超重、肥胖、中心型肥胖、吸烟、睡眠过短、睡眠过长、糖尿病、血脂异常、冠心病、脑卒中、高血压家族史、脑卒中家族史是高血压患病的独立危险因素。针对危险因素加强社区居民高血压防治工作意义重大。

    Abstract:

    Aim To understand the prevalence and risk factors of hypertension in the elderly residents in Shunqing district of Nanchong city, and provide basis for the prevention and treatment of hypertension. Methods Selecting the Shunqing district of Nanchong city community residents, aged 45 and above, using a face-to-face questionnaire survey, including living habits, chronic disease history, family history of chronic disease. At the same time, compeleting the physical examination and biochemical test by healthy workers who had undergone unified trainings. Results The morbidity, awareness rate, treatment rate and control rate of hypertension in Nanchong respectively were 37.8%, 48.1%, 42% and 18%. And the new morbidity was 24%, while according to the new American guidelines in 2017 was 69.59%. Age (OR=1.047), overweight (OR=1.5), obesity (OR=1.911), central obesity (OR=1.208), smoking (OR=1.238), short sleep (OR=1.105), long sleep (OR=1.261), diabetes (OR=1.341), dyslipidemia (OR=1.268), coronary heart disease (OR=1.57), stroke (OR=3.33), family history of hypertension (OR=2.155) and family history of stroke (OR=1.367) were closely related to the prevalence of hypertension. Conclusion The characteristics of hypertension in the residents aged 45 and above in Nanchong community were high morbidity, and low awareness rate, treatment rate and control rate. The age, overweight, obesity, central obesity, smoking, short sleep duration, long sleep duration, diabetes mellitus, dyslipidemia, coronary heart disease, stroke, familial history of hypertension, familial history of stroke are independent risk factors of hypertension. It was of great significance to strengthen the prevention and control of hypertension among community residents.

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卢丹,刘开翔,夏梦迪,赵玉章,冯胜刚,谢席胜.社区中老年居民高血压的流行病学调查及危险因素分析[J].中国动脉硬化杂志,2018,26(3):300~305.

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  • 收稿日期:2017-10-18
  • 最后修改日期:2018-02-13
  • 在线发布日期: 2018-04-03